Answers
Anti anxiety drugs are also known as minor tranquilizers.
The classification of anti anxiety drugs are as follow:
1. Barbiturates: eg. Phenobarbital, pentobarbital
2. Non- barbiturates non- benzodiazepine anti anxiety agents: eg. Meprobamate, ethanol
3.
Benzodiazepine: eg.
a. Very short acting: midazolam
b. Short acting : lorazepam
c. Long acting: diazepam
1. Phenobarbital:
- side effects: dizziness, headache, excitation, drowsiness, tiredness, loss of appetite, nausea and vomiting.
- contraindications: hypersensitivity to any barbiturates, acute intermittent porphyria, severe respiratory insufficiency, severe liver failure, pregnancy, breastfeeding.
- nursing interventions:
: Take th history of hypersensitivity to barbiturates.
: Check for any kind of contraindications.
: Administer IV slowly
: Do not administer the drugs intra arterially
2.
Ethanol:
Side effects:
- intoxication
- low blood pressure
- agitation
- nausea
- vomiting
- low blood sugar
Contraindications:
- brain operation
- coma in diabetic patient
- diabetes
- porphyrias
- abnormally low blood pressure
- liver problems
- severe renal impairment
- shock
- seizures
- alcoholism
Nursing interventions:
- advice to avoid alcohol
- assess of signs and symptoms of pancreatitis
- worsening of psoriasis may occur
- check for adverse effect if present discontinue the drug and report to the physician.
3. Diazepam:
Side effects:
- dizziness
- drowsiness
- lethargy
- hangover
- paradoxical excitation
- mental depression
- headache
- hypotension
- rashes
- blurred vision
Contraindications:
- angle closure glaucoma
- coma
- pre existing CNS depression
- respiratory depression
- severe uncontrollable pain
Nursing interventions:
- assess the patient B.P
- assess the patient for motor response
- keep the patient in recumbent position after administration through parenteral to avoid drug's hypotensive effect
- administer with food to avoid gastric irritation
- explain about adverse effects of the drug
.